Provider Demographics
NPI:1700489317
Name:MITTON, DONA MAE
Entity Type:Individual
Prefix:MISS
First Name:DONA
Middle Name:MAE
Last Name:MITTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15711 STATE ROUTE 161 W
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-9036
Mailing Address - Country:US
Mailing Address - Phone:614-499-2004
Mailing Address - Fax:
Practice Address - Street 1:15711 STATE ROUTE 161 W
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-9036
Practice Address - Country:US
Practice Address - Phone:614-499-2004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker